=== ORDER TERMS AND CONDITIONS ===

Any reference to ("Discount IVFMeds"), hereafter, refers to it, its agents, affiliates, related companies, subsidiaries, and parent company.

I confirm that my name is: Soyona Rafatjah, and that I am ordering for myself as the ("Patient") or if I am not the patient that I have the full consent of the patient to place this order.

I also represent, confirm, and acknowledge the following:

  1. The medicines ordered were prescribed by the local treating medical provider, a licensed physician ("The Physician"), and that the prescription(s) was lawfully obtained.
  2. Discount IVFMeds, the dispensing pharmacy, and any of its agents have relied on the information and documentation provided by me, and to the best of my knowledge I have fully disclosed all pertinent information and documentation.
  3. I confirm that "The Physician" has approved the use of products from Europe (approved by the European Medicines Agency).
  4. I understand that it is the responsibility of the patient to have regular physical examinations by "The Physician" prior to and while undergoing treatment, to ensure that the patient has no medical problems that would constitute a contraindication to taking the medications that have been prescribed.
     
  5. I authorise and appoint Discount IVFMeds, the dispensing pharmacy, and any of its agents as my agent and attorney for the purposes of arranging for the taking of all steps and arranging for the signing of all documents on my behalf, arranging for the packaging or repackaging, necessary to dispense the prescription and for the order to be shipped to the recipent, to the same extent as if I were personally present taking those steps and signing those documents myself, including, but not limited to, collecting personal health information directly from "The Physician" for the purpose set out above.
  6. I initiated contact with Discount IVFMeds for the purpose of referring my prescription and I acknowledge that Discount IVFMeds is located in Europe. I also acknowledge that the pharmacy dispensing the medicines is an independent pharmacy licensed in Europe. I also acknowledge that Discount IVFMeds, the dispensing pharmacy, and any of its agents are not affiliated with the manufacturers of the medicines who are the owners of their respective trademarks and who do not endorse our program.
  7. Title to the medicines passes at the time that they are dispatched from the dispensing pharmacy. Importation into the country of destination is the sole responsibility of the patient.
     
  8. I confirm that the medicines ordered do not exceed three months supply.
  9. I agree that any and all agreements reached or contracts between me and Discount IVFMeds shall be deemed to be made in the EU, and accordingly shall be governed by the laws of the EU as applicable to such contracts and agreements. I agree that any dispute that arises between me and Discount IVFMeds should be settled under the sole and exclusive jurisdiction of the Courts of the European Union. 
  10. I agree that any and all agreements reached or contracts between me and Discount IVFMeds shall be deemed to be made in the EU, and accordingly shall be governed by the laws of the EU as applicable to such contracts and agreements. I agree that any dispute that arises between me and Discount IVFMeds should be settled under the sole and exclusive jurisdiction of the Courts of the European Union.

​Agreed By: Soyona Rafatjah